在1973年至2002年出生的2500000名儿童中,怀孕年龄较小与学业表现不佳之间的关联
Alva Gustafsson1, Anna Bonnevier2,3, Karin Källén3
1Department of Obstetrics and Gynecology, Ystad Hospital, Ystad, Sweden.
Acta paediatrica (Oslo, Norway : 1992)
|November 11, 2023
概括
出生在孕期较小 (SGA) 的婴儿面临着较低学校成绩和需要特殊教育的更高风险. 孕产妇的身高影响了这一关联,这表明其在评估SGA影响方面的重要性.
科学领域:
- 儿科 儿科 儿科
- 教育心理学教育心理学
- 公共卫生 公共卫生
背景情况:
- 对妊娠年龄的出生体重是婴儿健康的关键指标.
- 怀孕年龄较小 (SGA) 的出生与各种发育挑战有关.
- 了解SGA的长期结果对于早期干预至关重要.
研究的目的:
- 调查婴儿体重与妊娠年龄之间的关联,以及16岁的学校成绩.
- 为了确定出生小于妊娠年龄 (SGA) 是否会影响教育成就.
- 探索这种关系中的潜在改变因素,如母亲的身高.
主要方法:
- 利用瑞典医疗出生登记册来识别1973年至2002年间近期或满期出生的婴儿.
- 分析了2,525,571名婴儿的数据,其中65,912人被确定为SGA.
- 雇佣修改Poisson和加权线性回归分析来评估特殊学校安置和最终成绩的风险.
主要成果:
- 小的孕期年龄 (SGA) 与增加对特殊学校的需求显著相关 (RR 2.25-2.47).
- 此外,SGA还与较低的最终学校成绩有关 (第10/25百分比以下的成绩为RR 1.18-1.49).
- 观察到母亲身高与特殊学校安置风险之间的线性关系,这表明SGA的影响在更高的母亲的孩子中更为明显.
结论:
- 小于孕期年龄 (SGA) 是学校成绩较差和需要特殊教育的重要风险因素.
- 母亲的身高似乎改变了SGA和学校成绩之间的关联.
- 考虑到母亲的身高对于全面评估SGA对学业成绩的长期影响很重要.
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